CAMILLA Greene
Fort Worth,Texas
Summary
Professional and dedicated Biller with more than 6 years of experience in inpatient, outpatient, and physician medical billing. Specialize in filing accurate claims, adjusting rejected claims, and understanding insurance contracts, appeals, and EOBs. Additional expertise in quality control, reimbursements, and implementing improved processes to enhance accuracy of business, billing, and medical records departments.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Medical Billing Rep
Cergis Billing
02.2015 - Current
- Verifying Medicaid, Managed Medicaid, and commercial plans accounts with a portfolio value of approximately 1 million
- Gained expertise in all aspects of medical billing including filing claims, refund requests, re-filing rejected claims, completing appeals, and adjusting underpayments
- Receive an explanation of benefits for review for errors, denials, adjustments, correct reimbursement of payments
- Submit appeals needed for denied procedures that are reimbursable according to ama guidelines and contracts
- Contact insurance carriers to check status, correct and resolve billed claims
- Create spreadsheets for incorrectly paid claims to inform provider representatives where there may be an error in their system to correct to receive proper reimbursements according to contracts
- Responsible for pre-certification/authorization and insurance verification for all patients
- Document activity in the patient accounts
- Answered phone for incoming calls, make outgoing calls and assist Call Center as needed.
Education
Diploma -
Penn Foster
Skills
- Excel, CPT Coding & ICD 10, Althena Health, EHR (Epic Systems,) Availity Meditech, Nthrive
Certification
CRCR certificate
Timeline
Medical Billing Rep
Cergis Billing
02.2015 - Current
Diploma -
Penn Foster
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